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1.
一例犬胫腓骨骨折的内固定治疗   总被引:1,自引:1,他引:0  
小动物胫腓骨骨折在临床上较为多见,包括单纯胫骨骨折、腓骨骨折和胫腓骨完全骨折等,骨折发生后多采用外固定进行治疗,效果比较理想,但如果骨折部位比较靠近关节,此时尽量采用内固定治疗,不至于引起关节僵硬的后遗症。作者通过结合发病情况、临床表现及X光和B超检查确诊一萨摩耶犬胫腓骨远端完全螺旋型骨折病例,使用接骨板和钢丝进行内固定,并结合一定的术后护理措施,恢复良好。  相似文献   

2.
犬、猫桡尺骨、胫腓骨骨折约占骨折发病率的30%左右,绝大多数病例为桡尺骨或胫腓骨完全错位性骨折,且多发生在中段或远端1/3处。远端完全错位性骨折采用夹板外固定、钢板内固定效果不太理想,笔者采用开槽法髓内针内固定术治疗犬、猫桡骨、胫骨骨折4例,报道如下。1病例概况见表1。表1病例情况编号品种年龄(岁)性别体重(kg)骨折部位内固定针外固定犬1博美犬2母3右胫腓骨远端斯氏2.5托马支架犬2博美犬3公2右桡尺骨远端斯氏2.0托马支架犬3小鹿犬1母2.2左胫腓骨远端斯氏2.5夹板猫杂交猫4母2右桡尺斯氏2.0夹板2准备与手术2.1术部备皮消毒,常规骨科…  相似文献   

3.
外固定支架手术技术是近几年在宠物临床上逐渐应用的一种治疗犬猫骨折修复的新技术,主要应用在治疗胫腓骨骨折、桡尺骨骨折等。针对一例猫股骨粉碎性骨折进行了外固定支架手术治疗,并取得了满意的治疗效果。  相似文献   

4.
本研究通过回顾分析临床上使用外固定支架治疗11例昆明犬胫腓骨骨折病例,探讨使用外固定支架治疗昆明犬胫腓骨骨折的临床效果。手术后100 d回访,骨折全部愈合,骨折愈合最短时间为30 d,最长为90 d,除少数有针孔感染和固定针松动外,无其他重大并发症。结果表明,外固定支架是治疗昆明犬胫腓骨骨折的理想方法。  相似文献   

5.
近年来,骨折已成为犬、猫等宠物较为常见的外科病.股骨是体内较长的骨骼,临床上该部位较易发生骨折,病例数约占全部骨折病例的26%.股骨骨折后,因股部肌肉收缩而使骨折端明显错位,且该部位肌肉较为丰富,闭合性整复和外固定效果往往不佳,因此多采用内固定治疗.笔者在临床中接诊的一例4月龄幼犬,出现了股骨近膝关节端陈旧性骨折,且已经形成假关节,经过髓内针及骨螺丝钉等内固定治疗,患犬最终康复,现将诊疗过程报告如下.  相似文献   

6.
内固定技术治疗犬猫股骨骨折   总被引:2,自引:1,他引:1  
骨折是犬猫最为常见的外科疾病。股骨是体内较长的骨骼,活动的范围大,支持的重力也大,所以临床上多发生骨折,约占全部骨折的26%(倪斌等,2007)。由于大腿肌肉丰满且上宽下窄,外固定很困难,因此内固定技术在犬猫股骨骨折治疗中有一定的意义。内固定是在骨折复位后,用金属内固定物  相似文献   

7.
四肢长骨骨折在幼犬中比较常见,以往多采用牵拉整复或小夹板外固定等保守疗法,治疗后由于骨断端固定或对合不良往往容易出现愈合后骨变形。近年来内固定手术优势明显,临床使用日益广泛,笔者根据幼犬骨骼发育特点,从骨折内固定手术治疗的意义及内固定物的选择方面总结了治疗体会,为临床提高发育期幼犬长骨骨折内固定的成功率提供参考。  相似文献   

8.
为诊断1只高处坠落导致跛行的患猫,采取了临床基本检查、实验室检查及DR影像学检查,确诊为左后肢股骨髁粉碎性骨折。根据检查结果制定手术治疗方案,采用交叉克氏针配合拉力螺钉进行手术内固定。后期回访患猫骨折断端愈合良好,运动功能逐步恢复,表明上述骨折固定方法有效。  相似文献   

9.
《畜牧与兽医》2015,(9):135-136
<正>犬胫腓骨骨折在兽医临床上是一种较常见的骨折,多由于机械性撞击等因素导致骨折,对于胫腓骨折的治疗多采用外固定的治疗方式,在治疗小型犬的胫腓骨折时若外固定确切,也可达到较好的治疗目的,但在治疗大型犬的胫腓骨折时,由于无法限制犬的运动和小腿部上粗下细的解剖特点,在实施外固定后很容易使外固定物滑脱,从而导致治疗失败,因此,内固定成为治疗该类骨折的最佳选择。笔者对一  相似文献   

10.
内固定治疗犬股骨粉碎性骨折1例   总被引:2,自引:0,他引:2  
犬股骨粉碎性骨折发生后,因股部肌肉收缩而使骨折端明显错位,闭合性整复和外固定效果往往不佳,所以通常采取内固定治疗。本文通过采用缝合线、金属丝以及髓内针内固定治疗1例犬股骨粉碎性骨折病例,术后恢复良好。  相似文献   

11.
This article describes the management of a complicated distal epiphyseal Salter–Harris type I fracture of the left tibia in a yearling horse. Closed reduction and internal fixation was attempted in the first surgery using tension band wires. Due to fracture instability 2 weeks after surgery, a full-limb transfixation pin cast was applied to the tibia and maintained for 7 weeks to prevent further fracture displacement and to achieve axial alignment. The full-limb cast was maintained for a total of 12 weeks, including the time with the transfixation pin cast. Cast sores and tendon laxity resolved without further complications. Ten months after the first surgery, the fracture had radiographically healed, and the horse was sound at the walk and trot in a straight line.  相似文献   

12.
A system already described by Unger and others was used to classify long bone fractures in dogs. The present paper reports experiences using the fracture classification system regarding its ease of use and the ability to analyse the data generated. Three hundred and eighty-six canine long bone fractures were classified from radiographs. Results were assessed by reviewing the medical records or by sending questionnaires to referring veterinarians. There were a few inconsistencies, particularly in classifying proximal ulnar fractures, but the system was easy to use and data retrieval was readily accomplished. Data from the system were used to compare the results of repairs of diaphyseal fractures of the radius/ulna, femur and tibia/fibula. A chi square analysis was used to determine significant differences between the outcome scores of the three fracture types. Fractures of the femoral diaphysis had a statistically poorer outcome than did diaphyseal fractures of the radius/ulna or tibia/fibula.  相似文献   

13.
Five cats with fracture of the talar neck were treated using external skeletal fixation (ESF). In four of the cases, ESF was the only fixation technique used and this was applied in a closed manner coupled with traction. In the remaining cat, ESF was used in combination with a lag screw. All the fractures eventually healed, demonstrating that ESF provided a simple and effective method of treatment for these cases.  相似文献   

14.
CLINICAL SUMMARY: The surgical repair of comminuted ilial wing fractures (comprising a long oblique fracture with ventral multiple fragmentation) in three cats using composite internal fixation is reported. The technique comprised the use of pins, screws, wire and polymethylmethacrylate. All cases had an excellent outcome with uneventful bone healing. One case had a very mild reduction in pelvic canal diameter postoperatively. There was no evidence of implant loosening or migration in any cat on follow-up radiographs. PRACTICAL RELEVANCE: This technique provided a quick and highly adaptable means of stabilising this fracture configuration, as well as restoring pelvic symmetry, when limited buttressing support and bone stock were available cranial and ventral to the acetabulum. This method of fixation may have biomechanical advantages over lateral or dorsal plating techniques for this particular type of fracture configuration.  相似文献   

15.
CASE HISTORY AND CLINICAL FINDINGS: Eight feline patients with fractures of the femur, tibia or humerus were presented non-weight-bearing, with varying degrees of soft tissue and concurrent injury. Five fractures were comminuted, two were open fractures and there was one malunion. TREATMENT: Fracture repair was performed in each case using a low-cost resin-acrylic external skeletal fixator (ESF). An open, limited open, or 'open but do not touch' (OBDNT) approach allowed intra-medullary (IM) pinning of the major fragments, establishing axial alignment and countering bending stress. Application of a unilateral, uniplanar (Type IA) ESF using small diameter half-pins provided stabilisation against rotational and compressive forces. The half-pins and IM pin (tied-in) were incorporated into a composite bar with the resin-acrylic. The single humeral construct incorporated a transcondylar pin into a Type I-II design. RESULTS: Seven cats, including all five comminuted fractures, had uncomplicated fracture healing. Median time to complete removal of the construct was 7 (range 5-12) weeks. In the eighth cat, an open fracture developed into a non-union, which required revision with a plate and bone graft. This cat and six others available for follow-up (median 6 months) were reported by their owners to enjoy normal activity. Two had a mild, intermittent lameness, one had a mild but persistent lameness, and four were sound. Six out of seven owners rated the appearance of their pet's limb as normal. CLINICAL RELEVANCE: The resin-acrylic ESF/tied-in IM pin construct was versatile and lightweight and allowed even highly comminuted non-load-sharing fracture configurations to be stabilised successfully using a biological strategy. Failure of the pin/acrylic interface did not occur and the frames provided sufficient strength as evidenced by healing without failure of the bar in these cases. A resin-acrylic ESF construct is inexpensive and affords the occasional orthopaedist the means to provide rotational stability when IM pinning has been used as the primary mode of fracture repair for short-oblique and transverse fractures. An extensive and costly clamp/bar inventory is not required, and there is greater flexibility for the orientation and placement of fixation pins than allowed by traditional linear bar systems.  相似文献   

16.
A survey of bone fractures in the dog and cat   总被引:2,自引:0,他引:2  
A survey was made of 284 canine and 298 feline fractures admitted to a metropolitan small animal hospital over a 2-year period. Approximately 80% of fractures occurred in animals less than 3-years old. Males were more commonly involved than females in both species. Road accidents were the main cause of fracture but falls and crush injuries were more common in dogs than cats. Bones most commonly affected in the cat were femur (28·2%), pelvis (24·8%) and mandible (11·4%), and in the dog radius and ulna (17·3%), pelvis (15·8%), femur (14·8), and tibia (14·8%). Forty percent of fractures were treated conservatively or by external fixation, 46·8% by internal fixation, and 13-1% were not treated. Results were satisfactory in 96·7% of treated cases.  相似文献   

17.
Changes in breast muscle (pectoral proper and supra coracoid) and leg muscle (muscles covering the femur, fibula and tibia) attributable to the growth of microorganisms at 1° C were generally small and in case of lactic acid, creatine‐creatinine and myoglobin could not be detected. “Tyrosine”, ammonia and hydrogen sulphide increased and glutamine decreased, the magnitude of the change varying with the organism. Glutathione decreased rapidly in aseptically minced muscle at 1° C.  相似文献   

18.
A 7 mo old, 2.4 kg, intact female kitten was evaluated for an inability to walk after falling out of the owner's arms. Diagnostic testing abnormalities included hypocalcemia, low ionized calcium, and elevated intact parathyroid hormone concentration. The 25-hydroxyvitamin D level was normal. Radiographic abnormalities included generalized osteopenia, a nondisplaced, folding fracture of the proximal right fibula, and sclerosis with a compression fracture of the proximal right tibia. Based on these findings and response to calcium carbonate and calcitriol therapy, a diagnosis of vitamin D-dependent rickets was made. Reports of similar cases in veterinary medicine are sparse and no other reports to date document radiographic abnormalities with a successful therapeutic outcome.  相似文献   

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